Revenue Cycle Management Consultant (Senior Billing Specialist / Remote)

Integral Health; New York (NY); Remote; USD 40,000 - 80,000; Part time

Job summary

An innovative healthcare organization is looking for a skilled Part-Time RCM Consultant to enhance billing practices for primary care. In this fully remote role, you will leverage your 5+ years of medical billing experience to optimize revenue through effective Chronic Care Management, Complex Chronic Care Management, and Remote Patient Monitoring programs. Join a dynamic team dedicated to improving healthcare accessibility and make a meaningful impact in the industry. This position offers flexible work hours, competitive compensation, and the opportunity to work independently while supporting primary care practices in achieving their financial goals.

Benefits

Flexible Work Arrangements

Competitive Compensation

Opportunity for Impact

Qualifications

• 5+ years in medical billing with a focus on primary care practices.
• Expertise in CCM, CoCM, and RPM billing programs.

Responsibilities

• Optimize billing processes for primary care practices.
• Provide training on billing procedures and coding.

Skills

Medical Billing

Chronic Care Management (CCM)

Complex Chronic Care Management (CoCM)

Remote Patient Monitoring (RPM)

Medical Coding (CPT, ICD-10, HCPCS)

Communication Skills

Problem-Solving Skills

Organizational Skills

Tools

Billing Software

Electronic Health Records (EHR) Systems

Job description

We work as a behavioral health partner for value-based care providers, joining forces with primary care practices, ACOs, and MCOs to develop innovative behavioral health care models. Our organization is growing steadily, and our leadership brings deep experience from diverse backgrounds. Our primary goal is to ensure that quality behavioral healthcare is accessible to everyone.

Position Overview:

We are seeking a highly skilled and experienced Part-Time RCM Consultant to join our team. This role is fully remote. The ideal candidate will have 5+ years of experience in medical billing, with a strong focus on primary care practice billing, including expertise in Chronic Care Management (CCM), Complex Chronic Care Management (CoCM), and Remote Patient Monitoring (RPM) programs.

Key Responsibilities:

1. Billing Oversight and Optimization:
   • Review and optimize billing processes for primary care practices to ensure accuracy and compliance with regulatory standards.
   • Identify and resolve billing discrepancies, denials, and underpayments.
   • Implement best practices for CCM, CoCM, and RPM billing to maximize revenue.
2. Compliance and Documentation:
   • Ensure all billing practices adhere to Medicare, Medicaid, and private payer guidelines.
   • Maintain detailed documentation for CCM, CoCM, and RPM services to support audits and claims.
3. Training and Support:
   • Provide training and support to practice staff on billing procedures, coding, and documentation requirements.
   • Act as a resource for resolving complex billing and coding questions.
4. Reporting and Analysis:
   • Generate and analyze billing reports to track revenue cycles, identify trends, and recommend improvements.
   • Monitor key performance indicators (KPIs) related to billing efficiency and revenue capture.
   • Conduct virtual consultations to assess billing operations and address practice-specific needs.
   • Build strong relationships with practice administrators and billing teams to ensure seamless collaboration.

Qualifications:

• 5+ years of experience in medical billing, with a focus on primary care practices.
• Expertise in CCM, CoCM, and RPM billing programs.
• Strong knowledge of medical coding (CPT, ICD-10, HCPCS) and payer guidelines.
• Proficiency in billing software and electronic health records (EHR) systems.
• Excellent communication, problem-solving, and organizational skills.
• Ability to work independently and manage multiple priorities in a remote work environment.

Work Schedule:

• Fully remote role with part-time hours, offering flexibility to accommodate practice needs.

Why Join Us?

• Opportunity to work with a dynamic team dedicated to improving healthcare billing practices.
• Competitive compensation and flexible work arrangements.
• Make a meaningful impact by helping primary care practices optimize revenue and enhance patient care.

Seniority level

• Mid-Senior level

Employment type

• Part-time

Job function

• Consulting, Information Technology, and Sales

Industries

• Mental Health Care